Mock PANCE Draft Order

A medical professional examining charts in a hospital setting, conveying a sense of urgency and focus, with visual elements suggesting various medical specialties and conditions.

Mock PANCE Draft Quiz

Test your knowledge with our comprehensive Mock PANCE Draft Quiz, designed for medical professionals preparing for the PANCE exam. This quiz covers various essential topics in medicine, providing you with a valuable opportunity to assess your understanding and retention of critical medical concepts.

Featuring 11 challenging questions, this quiz will help you:

  • Identify key clinical presentations and management strategies
  • Enhance your diagnostic skills
  • Prepare effectively for professional certification

11 Questions3 MinutesCreated by CaringDoctor459
Name:
An intravenous drug user presents to the emergency room with persistent fever for the last 48 hours. On physical examination, there is a holosystolic murmur that radiates to the axilla. Echocardiogram shows vegetations on the mitral and tricuspid valves. Preliminary gram stain shows gram-positive cocci in clusters. Which of the following is the recommended management of this patient?
IV ceftriaxone and gentamicin
IV nafcillin and vancomycin
IV vancomycin
IV gentamicin
IV penicillin G and gentamicin
A 43-year-old male develops sudden onset of fever, right upper quadrant pain that is persistent, and jaundice. Labs are significant for an increased alkaline phosphatase with an increase in gamma glutamyl transpeptidase (GGT). Which of the following is the most likely diagnosis?
Acute cholecystitis
Acute cholangitis
Choledocholithiasis
Primary sclerosing cholangitis
Carcinoma of the head of the pancreas
Which of the following is not part of the routine management of atopic dermatitis?
Topical corticosteroids
Antihistamines for itching
Topical antibiotics for secondary bacterial infections
The use of unscented hypoallergenic lotions
Immediately drying the skin after showering to reduce irritation and keeping the skin dry
An 11-year-old boy who was recently diagnosed with Influenza A presents with recurrent epistaxis and petechiae. There is also recurrent bleeding of the gums. On physical examination, there is no evidence of splenomegaly. The patient is hemodynamically stable and there is no active bleeding seen. Labs show an isolated thrombocytopenia of 90,000 (Normal 150,100 - 450,000/mcL). Which of the following is the recommended management if clinical intervention is needed?
Intravenous immunoglobulin
Plasmapheresis
Splenectomy
Platelet transfusion
Fresh frozen plasma
A 34-year-old female with a history of sarcoidosis gets a tattoo with black and red dye. 4 days later, she develops painful, erythematous plaques on the anterior shins bilaterally. Which of the following is the most likely diagnosis?
Erythema migrans
Erythema marginatum
Erythema infectiosum
Erythema nodosum
Erythema multiforme
Which of the following is most consistent with malignant hypertension (grade IV hypertensive retinopathy)?
Venous compression at the artery-venous junction
Yellow spots with sharp margins that are circinate
Fluffy gray-white spots on the retina
A detached retina
Blurring of the optic disc and cup
A 28-year-old male with a history of multiple endocrine neoplasia type IIA develops refractory hypertension. A CT scan of the abdomen shows the presence of pheochromocytoma. Which of the following medications is considered the first line management prior to surgical removal of the tumor?
Metoprolol
Atenolol
Hydrochlorothiazide
Phenoxybenzamine
Midodrine
Depression is a side effect of which of the following anti hypertensive medications?
ACE inhibitors
Beta blockers
Loop diuretics
Angiotensin II receptor antagnoists
Aldosterone antagonist
Which of the following most reliably distinguishes chronic primary adrenocortical insufficiency from secondary adrenocortical insufficiency?
The presence of fatigue
The presence of hyperkalemia
The presence of muscle weakness
The presence of hyponatremia
The presence of skin hyperpigmentation
A 72-year-old male is admitted for status asthmaticus and is given ipatropium nebulizer therapy and oral corticosteroids. The nurse informs you the next morning that the patient is exhibiting signs of acute confusion in which the patient fluctuates between agitation and somnolence, with paranoid ideation. There are no visual hallucinations. Which of the following is the most likely diagnosis?
Dementia
Delirium
Type II bipolar disorder
Wernicke's encephalopathy
Vascular dementia
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